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There are many ways you can help children and their families get the care they need.
There are no x-rays or blood tests to diagnose endometriosis. The only 100 percent way to be certain of the condition is to have a procedure called a laparoscopy. This surgical procedure allows a doctor to look at the pelvic organs with a tiny camera.
Other tests that your physician may order before the laparoscopy include:
Endometriosis—the presence of extra-uterine endometrial glands and stroma that can lead to subsequent inflammation and fibrosis—is a chronic disease affecting 5 to 10 percent of women of reproductive age, most commonly occurring in adolescents. It can cause pain, infertility and significant quality of life impairment, and often presents as cyclic and noncyclic pelvic pain. Since there is no non-invasive diagnostic test, there are high rates of misdiagnosis or delayed treatment.
Since early diagnosis and treatment may prevent further pain, functional impairment and a cycle of lower self-esteem, depression and anxiety, primary care providers (PCPs) have a unique opportunity to intervene. The diagnostic challenge is determining when the symptoms are not dysmenorrhea and require further evaluation:
Refer to a specialist when pain relief is not sufficient to enable regular daily activities.
For adolescents who have persistence of pain symptoms on cyclic COCs and NSAIDS, endometriosis is suspected and a laparoscopy is indicated for diagnosis and treatment.
For more information, please call the Center for Young Women’s Health at 617-355-2994.
We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”